| Entity Name: | DYNAMIC MOBILE THERAPY CONTRACTING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 24 Jul 2023 (2 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 03 Aug 2023 (2 years ago) |
| Document Number: | L23000348051 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 21208 WAYMOUTH RUN, ESTERO, FL 33928 UN |
| Mail Address: | 21208 WAYMOUTH RUN, ESTERO, FL 33928 UN |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710767223 | 2023-10-02 | 2023-10-02 | 21208 WAYMOUTH RUN, ESTERO, FL, 339283243, US | 21208 WAYMOUTH RUN, ESTERO, FL, 339283243, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 401-256-9997 |
Authorized person
| Name | MEKAAEL MAHMOUD |
| Role | OWNER |
| Phone | 4012569997 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | No |
| Taxonomy Code | 163W00000X - Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 164W00000X - Licensed Practical Nurse |
| Is Primary | No |
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| Is Primary | Yes |
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 363LG0600X - Gerontology Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MAHMOUD, MEKAAEL | Agent | 21208 WAYMOUTH RUN, ESTERO, FL 33928 |
| Name | Role | Address |
|---|---|---|
| MAHMOUD, MEKAAEL | Chief Executive Officer | 21208 WAYMOUTH RUN, ESTERO, FL 33928 UN |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT AND NAME CHANGE | 2023-08-03 | DYNAMIC MOBILE THERAPY CONTRACTING LLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-08-03 | 21208 WAYMOUTH RUN, ESTERO, FL 33928 UN | No data |
| CHANGE OF MAILING ADDRESS | 2023-08-03 | 21208 WAYMOUTH RUN, ESTERO, FL 33928 UN | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-11 |
| LC Amendment and Name Change | 2023-08-03 |
| Florida Limited Liability | 2023-07-24 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
